Data Privacy by Design

Architecting privacy into your health application
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Privacy in healthcare is both a legal requirement and a competitive advantage. Privacy by Design means building privacy controls into your architecture from the start.

Data Minimization Principles

Collect only what you need, retain only what you must:

  • Purpose specification: Define exactly why each data point is collected
  • Collection limitation: Only collect data that serves a specified purpose
  • Data retention: Define and enforce retention schedules for each data type
  • Anonymization: Anonymize data when the purpose doesn’t require identification

Consent management is a core architectural component, not an afterthought:

  • Granular consent: Separate consent for treatment, payment, operations, and research
  • Consent lifecycle: Capture, store, enforce, audit, revoke
  • Temporal consent: Time-limited consent with automatic expiration
  • Emergency override: Mechanisms for emergency access with audit trail
  • Minor consent: Special handling for pediatric data

De-Identification Techniques

TechniqueRe-identification RiskUse Case
Safe harbor (HIPAA)Low — remove 18 identifiersResearch datasets
Expert determinationVery low — statistical de-identificationComplex data sharing
PseudonymizationModerate — reversible with keyProduction analytics
AggregationVery low — group-level onlyPopulation reporting
Differential privacyLow — calibrated noiseML training

Cross-Border Data Transfer

Health data crosses borders with increasing frequency:

  • EU-US Data Privacy Framework: New framework for EU-US data transfers
  • Standard Contractual Clauses (SCCs) : EU-approved contract terms for data transfers
  • Binding Corporate Rules (BCRs) : Internal data protection policies for multinational organizations
  • Data residency: Some countries require health data to remain within national borders

Privacy Impact Assessments

A DPIA (Data Protection Impact Assessment) is required under GDPR for high-risk processing:

  1. Describe the processing and purpose
  2. Assess necessity and proportionality
  3. Identify and assess risks to individuals
  4. Identify measures to mitigate risks
  5. Document the decision